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Patient Access Representative I - FT - Evening - Patient Access Services Browns Mills NJ

Capital Health

divh2Patient Registration Representative/h2pRegisters patients accurately, efficiently and professionally to ensure database integrity and facilitate claims processing. Applies financial screening guidelines to ensure collectable accounts. Utilizes standards, guidelines, and written procedures for performing registration functions./ppMinimum Requirements:/pulliEducation: High school diploma or equivalency./liliExperience: One year experience in healthcare setting or customer service. Medical terminology and medical insurance knowledge preferred./liliOther Credentials: Knowledge and Skills: Strong customer service skills. Excellent verbal and written Communication skills. Strong interpersonal skills. Special Training: Basic computer skills. Mental, Behavioral and Emotional Abilities: Ability to work independently and as a team. Maintains composure in high pressure or fast-paced environment./li/ulpEssential Functions:/pulliFollows all payor requirements for both in/out of network insurance plans and identifies needs for referrals and precertification either electronically or by telephone according to department procedures and guidelines./liliPerforms verification of benefits on all patient encounters. Audits chart for accuracy./liliFollows computer system, internet-based third-party insurance applications, department operational procedures and departmental training guidelines to obtain accurate demographic, diagnosis, authorizations/referrals and insurance information on each registration./liliDemonstrates service excellence by professionally assisting patients and customers with the utmost respect in a friendly caring manner./liliWorks collaboratively with other departments, physicians and physician office staff to obtain essential registration information such as insurance authorization, referrals, diagnosis, and scripts, to secure financial reimbursement and customer/patient satisfaction./liliComplies with department procedures and regulatory guidelines for Medicare Secondary Payer, Medicare Medical Necessity Regulations, Collection of co-pay, Advance Beneficiary Notice, Advance Directives, and Patients Rights./liliRegisters established goal of minimum required patients per employee shift as measured by productivity reports. Correctly identifies a patient according to policy, completes all patient registration types by collecting and entering accurate patient demographics, physician information, insurance information and valid registration specific codes./liliObtains all necessary signatures. Assures insurance information is verified, and authorization is obtained if not done prior to service, essential registration forms are scanned into Electronic Medical Record, and chart follow up is performed as needed./liliAscertains and records appropriately the difference between primary care physician, referring physician and attending physician. Displays comprehension of identifying participating CH insurance plans and ability to identify nonparticipating plans./liliUtilizes Insurance Card Database and/or Insurance Verification guidelines. Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care./liliAttends all mandatory department meetings. Supports and participates in department performance improvement initiatives. Performs other duties as needed./li/ulpPhysical Demands and Work Environment:/pulliFrequent physical demands include: Sitting, Standing, Walking, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion/liliOccasional physical demands include: Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl/liliContinuous physical demands include: Talk or Hear/liliLifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs./liliSensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing/liliAnticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens, Airborne Communicable Disease, Extreme Noise Levels, Dust/Particulate Matter/li/ulpThis position is eligible for the following benefits:/pulliMedical Plan/liliPrescription drug coverage In-House Employee Pharmacy/liliDental Plan/liliVision Plan/liliFlexible Spending Account (FSA)/liliHealthcare FSA/liliDependent Care FSA/liliRetirement Savings and Investment Plan/liliBasic Group Term Life and Accidental Death Dismemberment (ADD) Insurance/liliSupplemental Group Term Life Accidental Death Dismemberment Insurance/liliDisability Benefits Long Term Disability (LTD)/liliDisability Benefits Short Term Disability (STD)/liliEmployee Assistance Program/liliCommuter Transit/liliCommuter Parking/liliSupplemental Life Insurance/liliVoluntary Life Spouse/liliVoluntary Life Employee/liliVoluntary Life Child/liliVoluntary Legal Services/liliVoluntary Accident, Critical Illness and Hospital Indemnity Insurance/liliVoluntary Identity Theft Insurance/liliVoluntary Pet Insurance/liliPaid Time-Off Program/li/ulpThe pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level./ppThe salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria./p/div

Capital Health
Vacancy posted 4 days ago
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